Start with a new care concept or stick with the tried and tested and increase quality? Operators are increasingly responding to the individual wishes of today’s 65+ generation with a variety of residential and nursing care offers. As a result, the facilities are increasingly developing into integrated providers that move more freely than ever between the inpatient, day-care and outpatient financing pillars of the German health care system. The spectrum of operator concepts ranges from mixed forms that integrate assisted living as part of a care chain and temporary intermediate solutions to completely independent offers with self-contained areas, mobile service concepts and supplementary nursing stations. The TERRANUS Care Report shows how the industry is developing new concepts for the future with a great deal of creativity, why – also in view of the ongoing corona pandemic – the legislative authorities should promptly undertake future-proof reforms that are uniform across federal state borders. Based on these parameters, the operator concept can be developed or adapted for precise alignment.